Transvaginal Ultrasound‐Guided Biopsy of Deep Pelvic Masses

Plett, Sara; Pōder, Liina; Brooks, Rebecca; Morgan, Tara A.

doi:10.7863/ultra.15.08002

Cited by 12 publications

(10 citation statements)

References 27 publications

(21 reference statements)

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“…Different approaches (percutaneously, transvaginally, transrectally, and/or transabdominally) can be used for ultrasound-guided biopsy depending on the localization of the lesion. It can be performed in an outpatient setting, after completion of an ultrasound examination, because it does not require any special preparation of the patient, fasting, or anesthesia 3. Although many radiologists are familiar with image-guided percutaneous biopsy techniques, access to lesions located deeply within the female pelvis is often limited by the position of the major vessels, uterus, urinary bladder, ureter, and bowel.…”

Section: Introductionmentioning

confidence: 99%

Role of transvaginal ultrasound-guided biopsy in gynecology

Mascilini

Quagliozzi

Moro

et al. 2019

Int J Gynecol Cancer

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BackgroundUltrasound-guided biopsy is an easy technique for obtaining tissue samples. It is commonly used for different types of tumors, such as breast and prostate cancers, in order to plan early and adequate treatment.ObjectiveTo evaluate the indications, adequacy, and safety of transvaginal ultrasound-guided biopsy in women with pelvic lesions suspected of gynecologic malignancy.MethodsA retrospective study including all patients who had undergone transvaginal ultrasound-guided biopsy between April 2015 and May 2018 was carried out at the division of gynecologic oncology. Inclusion criteria were the presence at imaging of abdominal or pelvic tumors in patients considered not ideal candidates for primary gynecological surgery, or the origin and/or nature of the tumor was unclear and further management required histological verification. Patients with planned surgery were excluded from the study. Transvaginal biopsies were performed with a 18 G/25 cm core-cut biopsy needle and histology was obtained. Tru-cut biopsies were performed using an automatic bioptic gun with a 18 G/25 cm core-cut biopsy needle. Results are presented as absolute frequency (percentage) for nominal variables and as median (range) for continuous variables.ResultsA total of 62 women were analyzed. An adequate sample for histological analysis was obtained in all cases. Histopathological examinations showed 24 (38.7%) benign lesions (fibrosis, inflammation, uterine or ovarian myoma) and 38 (61.3%) malignant tumors, distributed as follows: 34 (89.5%) malignant gynecological lesions and 4 (10.5%) non-gynecological malignant tumors. Among the malignant lesions, there were 12/38 (31.6%) primary tumors, 24/38 (63.2%) recurrent tumors, and 2/38 (5.3%) metastases from non-genital cancer. Ten patients eventually underwent surgery. Final histology was not in agreement with the results from transvaginal ultrasound-guided biopsy in 2 of 10 patients (20%); in particular, benign disease at transvaginal ultrasound-guided biopsy was malignant at final histology (two cases of recurrence of cervical cancer). Three patients (4.8%) had pain during the procedure, which was controlled by oral analgesic therapy and lasted for no longer than 10 min. No major complications were registered.ConclusionsTransvaginal ultrasound-guided biopsy is a minimally invasive method to obtain adequate material for histological diagnosis and could avoid unnecessary surgical procedures, costly CT-guided procedures, or prolonged waiting times.

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Section: Introductionmentioning

confidence: 99%

Role of transvaginal ultrasound-guided biopsy in gynecology

Mascilini

Quagliozzi

Moro

et al. 2019

Int J Gynecol Cancer

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“…For prostate biopsy, antibiotic prophylaxis is well-established when the transrectal approach is used [17]. However, whether antibiotic prophylaxis is necessary for TVUS-guided biopsy remains controversial [4,9]. Nevertheless, previous reports imply that transvaginal procedures may have a risk of infectious complications [18,19].…”

Section: Discussionmentioning

confidence: 99%

“…Previous studies have suggested that transrectal ultrasound (TRUS) or transvaginal ultrasound (TVUS)-guided biopsy is useful and safe for sampling intrapelvic lesions [4-9]. According to the literature, the rate of diagnostic biopsies (i.e., those that enable a histologic diagnosis) is roughly 85%-95%.…”

Section: Introductionmentioning

confidence: 99%

Transrectal or transvaginal ultrasoundguided biopsy for pelvic masses: external validation and usefulness in oncologic patients

2019

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“…Every biopsy was performed by one of two experienced physicians (CG, LW) who had worked at least five years at the interventional ultrasound department using US instrument (Logiq E9; GE Healthcare, Chicago, IL, USA). TVUS- and TRUS-guided biopsies were performed in the lithotomy position with empty bladder after sterilization of the vagina and anus (16). The procedure utilized a reusable automatic biopsy gun (Bard Biopsy, Tempe, AZ, USA) compatible with an 18 gauge 15 cm tru-cut needle.…”

Section: Methodsmentioning

confidence: 99%

Transvaginal/transrectal ultrasound-guided aspiration biopsy for diagnosis of pelvic/pelvic floor tumors in females: A retrospective analysis

et al. 2019

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Ultrasound guidance for histological diagnosis is in real-time, convenient, and economical. The aim of this study was to determine whether transvaginal ultrasound (TVUS)- and transrectal ultrasound (TRUS)-guided aspiration biopsy allows detection of a malignant pathology of pelvic/pelvic masses. Data of 40 patients with pelvic and pelvic mass lesions by computed tomography or magnetic resonance imaging underwent TVUS- or TRUS-guided biopsy. Tissue samples obtained were assessed on suitability for histopathologic evaluation. The post-biopsy complication was monitored. All the specimens in the pelvic floor, vaginal stump, vaginal fornix, cervix, and posterior wall of the anal canal were adequate for histologic diagnosis. There were no post-biopsy complications. Transvaginal/transrectal ultrasound-guided aspiration biopsy is safe and simple. It can be used for the diagnosis and differential diagnosis of pelvic and pelvic floor lesions in women. Prospective studies are needed to test diagnostic performance across clinical scenarios.

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Transvaginal Ultrasound‐Guided Biopsy of Deep Pelvic Masses

Cited by 12 publications

References 27 publications

Role of transvaginal ultrasound-guided biopsy in gynecology

Role of transvaginal ultrasound-guided biopsy in gynecology

Transrectal or transvaginal ultrasoundguided biopsy for pelvic masses: external validation and usefulness in oncologic patients

Transvaginal/transrectal ultrasound-guided aspiration biopsy for diagnosis of pelvic/pelvic floor tumors in females: A retrospective analysis

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